The relationship between adrenal exhaustion and syndrome burnout at workplace

Introduction
The objective of this study is the assessment of the association of burnout syndrome with adrenal exhaustion specific symptoms and signs among 116 patients who were exposed to various stressors, mobbing and act of violence at workplace and ask health care during 2005 to 2008 in Department of Occupational Pathology and Toxicology Tuzla.

Methods

Data of 86 employees who were exposed to stress at workplace (often associated with mobbing) >1 years and data of 30 employees who were exposed to acute traumatic crisis situation (often act of violence; pre and post control observation 6 months later). Tools for assessment were Clinical examination, self constructed Questionnaire about symptoms and signs of Adrenal exhaustion, self- constructed mobbing questionnaire and Maslach- Burnout Inventory.

Results
Patients who are exposed to chronic stress suffered all symptoms associated with adrenal exhaustion (range from 45% to 95%) There were significant worse level of WAI than group of patients exposed to acute stress situation at workplace (P= 0.040). Lack of personal accomplishment was found particularly among 52.3% participants who were long term exposed to stress.

Discussion
When workers have constant exposure to repeated work- related stress or long-term reaction to crisis situation they are suffered adrenal fatigue.